Document Detail


Ultrasound-guided umbilical catheter insertion in neonates.
MedLine Citation:
PMID:  21311495     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective:Umbilical catheter placement is a routine neonatal emergency procedure that has large variability in technical methods. Commonly used methods are unable to accurately estimate insertion lengths, and X-rays cannot always identify malpositioned catheters. In clinical practice, the placement of umbilical lines takes time away from nursing during a critical transition period. Ultrasound is a safe and commonly used tool in the nursery for clinical management of sick neonates and has been shown to readily identify central catheter tip position. In this study, we sought to determine a more time-efficient and accurate means of umbilical catheter placement using bedside ultrasound.Study Design:This is a prospective, randomized, pilot trial of infants of any age or weight admitted to the neonatal intensive care unit who required umbilical catheter placement. Infants were excluded if they had congenital heart disease, abdominal wall defects or had a single umbilical artery. Catheters were placed using either the conventional method, with blinded evaluation of the catheters using ultrasound, or with ultrasound guidance, with input pertaining to catheter tip location. The number of X-rays required to confirm proper positioning, completion time points throughout the procedure and manipulations of the lines were recorded for both groups.Result:Ultrasound use decreased the time of line placement with an average saving of 64 min, as well as decreased the number of manipulations required and X-rays taken to place the catheters. The average X-ray time from request to viewing per X-ray was 40 min for all subjects.Conclusion:Ultrasound-guided umbilical catheter placement is a faster method to place catheters requiring fewer manipulations and X-rays when compared with conventional catheter placement.Journal of Perinatology advance online publication, 10 February 2011; doi:10.1038/jp.2010.128.
Authors:
S E Fleming; J H Kim
Related Documents :
9194665 - Birth from cryopreserved embryos following in-vitro maturation of oocytes and intracyto...
11200815 - Nitric oxide (no) and interleukin-1beta (il-1beta) in follicular fluid and their correl...
15134195 - Phenotype of the triplo-lethal locus of drosophila melanogaster and its suppression by ...
22800795 - Ophthalmological findings in congenital cytomegalovirus infection: when to screen, when...
8169915 - Premature delivery of small versus appropriate-for-gestational-age neonates. a comparat...
2762485 - Microstress, mood, and natural killer-cell activity.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-10
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  -     ISSN:  1476-5543     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of Neonatology, UCSD Medical Center, San Diego, CA, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Echocardiographic measures of ventricular function and pulmonary artery size: prognostic markers of ...
Next Document:  Hospital readmission among infants with gastroschisis.